Diagnosis And Disease Progression / Acute Exacerbation Essay

1. 3 Priority medical diagnoses: A. 40 weeks and 2 days pregnant G1 T0 P0 A0 L0 (priority because of potential complications of pregnancy and labor, some which may be life threatening) B. Second degree tear to perineal (compromises the integrity of the skin and increases risk of infection) C. Anemia (currently being treated with medications) 2. Description of the client’s pathophysiology of the disease progression or acute exacerbation (refer to 1A) (Describe the â€Å"what, when, where, how, and why† in regards to the patient’s admitting diagnosis and disease progression/acute exacerbation. Be specific. This should be a 6 – 8 sentence paragraph.) The patient is an 18 year old Spanish female who came to the unit on 11/31/2016 at 23:10 complaining of cramping and she had thought that her water had broken. Her pain was a 4 on a scale of 0-10 in her abdomen described as cramping. Upon examination she was dilated to 3cm, 80% effaced and the position of the baby was -2 and vertex. Her membranes remained intact. Her estimated due date was 10/28/2016. This is her first pregnancy. She has no history of abortion or miscarriage. She has had her flu vaccine and tdap vaccine in October, 2016. She has never smoked or done illegal drugs. She is negative for group b strep, hepatitis, HIV, and syphilis, gonorrhea, and chlamydia. She is rubella immune. There is a language barrier between the patient and the staff. The patient and her family only speak Spanish and only knew very littleShow MoreRelatedEssay On Pulmonary Care938 Words   |  4 PagesWhen treating chronic obstructive pulmonary disease, it has been shown that most healthcare prac titioners are focusing on episodes when the disease is in its exacerbation or its acute phase. When the patient presents with an acute exacerbation, the disease has already progressed to the point that could potentially be dangerous, but this can also be avoided. Exacerbations due to chronic obstructive pulmonary disease are one of leading causes of the increasing number of emergency room visits nationallyRead MoreDiabetes Mellitus Type 2 Diabetes1628 Words   |  7 PagesDiabetes mellitus type 2, also know as type 2 Diabetes or noninsulin dependent diabetes, is a disease that effects the body systemically. Type 2 diabetes is a disorder in which cells become resistant to insulin and can no longer bind it properly to reduce blood sugar. The result of this is elevated glucose levels in the circulating blood that leads to endothelial injury in all regions of the body. Primary damages occur in the kidneys, cardiovascular, and digestive systems. According to â€Å"Annual NumberRead Mo re Care of Patients with Multiple Sclerosis Essay1035 Words   |  5 PagesMultiple sclerosis (MS) is an acquired demyelinating disease of the central nervous system (CNS) that typically is diagnosed in the second or third decade of life. Normally, nerves are enclosed in myelin sheaths that help facilitate transmission of nerve impulses within the CNS and the peripheral nervous system throughout the body. In patients with MS, the myelin sheath is damaged and eventually degenerates, causing patches of scar tissue called plaques or lesions to occur anywhere randomly onRead MoreTaking a Look at Multiple Sclerosis1125 Words   |  4 PagesMultiple sclerosis (MS) is an acquired demyelinating disease of the central nervous system (CNS) that typically is diagnosed in the second or third decade of life. Normally, nerves are enclosed in myelin sheaths that help facilitate transmission of nerve impulses within the CNS and the peripheral nervous system throughout the body. In patients wi th MS, the myelin sheath is damaged and eventually degenerates, causing patches of scar tissue called plaques or lesions to occur anywhere randomly onRead MoreChronic Obstructive Pulmonary Disease ( Copd )2280 Words   |  10 PagesCOPD Exacerbation Chronic obstructive pulmonary disease (COPD) is a lung disorder characterized by a small airway obstruction and reduction in expiratory flow rate (Arcangelo Peterson, 2013). It affects over ten percent of the United States’ population, is the 4th leading cause of death, and costs over $37 billion annually to treat (Arcangelo Peterson, 2013). In 2013, 2.8% of every 100,000 diagnosed with COPD, died from chronic bronchitis or emphysema related causes (CDC, 2014). Common riskRead MoreEssay On STD1500 Words   |  6 Pagesmortality and morbidity rates from late stage STD diagnosis by utilizing appropriate therapies. STDs cause complications that can advance to â€Å"emotional suffering, including infertility, ectopic pregnancy, cancer, and death† (Ignatavicius, 2016). In 2017, CDC stated that the number of HIV diagnoses were 39,513 cases followed by a mortality rate of 6,721 cases (CDC, 2017). If screenings were thoroughly explained and put into action, early diagnos is and treatment would be readily available to preventRead MoreChronic Obstructive Pulmonary Disease ( Copd )3320 Words   |  14 PagesChronic Obstructive pulmonary disease (COPD) has been known as umbrella diagnosis of multiple pulmonary disorders. COPD is a complex disorder that is very prevalent in the older adult population and causes significant complications in the older adult due to age related aspects and multiple co morbidities that are involved. According to the World Health Organization, COPD is defined as chronic obstruction of lung airflow that can be irreversible and results in decreased pulmonary lung function. COPDRead MoreChronic Obstructive Pulmonary Disease: Nebulized Furosemide1467 Words   |  6 Pagesleading cause of mortality in the United States. Mortality is expected to increase among COPD patients despite advances in its management. As exacerbations and hospitalizations characterize a key driver of the cost and morbidity of COPD, significance should be placed on interventions aimed at delaying the advancement of disease, inhibiting exacerbations, and reducing the risk of co-morbidities. Treatment for COPD has been at of a standstill in recent years. Beta2 antagonists, corticosteroids,Read MoreChronic obstructive pulmonary disease (COPD) Essay3114 Words   |  13 PagesIntroduction: Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associatedRead MoreThe Costs On Healthcare For The Homeless Population1990 Words   |  8 PagesOur Innovation Our proposed innovation will decrease the costs on healthcare for the homeless population in the inner city that suffer from chronic obstructive pulmonary disease (COPD). Our proposed innovation is an internal capnography chip. The chip sends a signal to the local health department that will be able to monitor respiratory, circulatory, and metabolic status of the homeless. The internal chip will have a global positioning system (GPS) to locate the patient when the capnography is showing

Indian English Novel - 17483 Words

The Indian English novel evolved as a subaltern consciousness; as a reaction to break away from the colonial literature. Hence the post colonial literature in India witnessed a revolution against the idiom which the colonial writers followed. Gradually the Indian English authors began employing the techniques of hybrid language, magic realism peppered with native themes. Thus from a post colonial era Indian literature ushered into the modern and then the post-modern era. The saga of the Indian English novel therefore stands as the tale of Changing tradition, the story of a changing India. The stories were there already in India steeped in folklores, myths, written in umpteen languages as India is always the land of stories. However, the†¦show more content†¦Authors and legendary sages have been recognised to have devoted volumes of paper, pen and ink in priceless poetry or drama, dedicating each meticulous thought to penning down immortal creations that still arrests attenti on. However, it was only in the Later Vedic Age that one gets to witness the foremost and original and initial stages of Indian novel writing under the masters like sages Valmiki or Vyasa. Indian novels began to be first written in Sanskrit only, with the said literary body being divided into - Vedic Sanskrit, Epic Sanskrit and Classical Sanskrit literatures. Setting apart the first two ages with their distinctive genres, it was precisely in the Classical Sanskrit age that the plan and notion of `novels` began to be first shelled out in India, lending a solid shape to the still-now floating criterion. The Classical age in Sanskrit literature was the time when fables and fictional novels were begun to be given a distinct shape for the common mass. As such, beginning from that period and still going on in the current scenario, Indian novels have time and again impressed upon the reading public as well as fetching esteemed and honoured accolades both the country and overseas. Indian no vels have been unbeaten enough to exhaustively reflect the history, society, political domain, economic status and tradition of Indian subcontinent, traversing ages. Indeed, the history of Indian novels has much to speak and state about such anShow MoreRelatedDevelopment of the Indian English Novel1486 Words   |  6 PagesBy Indian English Writing, we mean that body of literature which is written by Indians in English. It could be in the form of poetry, prose, fiction or drama. English is not our mother tongue and we are not native speakers of English, yet when in the early decades of the nineteenth century, English was introduced as the medium of instruction in our educational system, Indians were able to read Western literature that was available in English. They found the languageRead MoreAnalysis Of Kashmira Sheth s Keeping Corner, Mira And Pemala1651 Words   |  7 Pageslives also. They contribute actively in the national development too. These are the girls who celebrate their journey from victimized to liberated and individual selves. Kashmira Sheth and Kamla Markanaya depict the picture of such girls in their novels. This paper analyses Leela in Kashmira Sheth’s Keeping Corner , Mira and Pemala in Kamala Markandaya’s Some Inner Fury. These girl are successful in awakening new consciousness amongst other girls and society. Transfiguration of Girls from VictimsRead MoreLiterature : A New Realm Of Understanding Of Human Nature And Behavior1761 Words   |  8 Pagesdistinguished according to major forms such as the novel, short story or drama, and works are often categorized according to historical periods or their adherence to certain aesthetic features or expectations. Literature is one of the fine arts that employ language as a medium of expression. It is a mirror and interpretation of life. Indo-English Literature has witnessed various themes like freedom struggle, Gandhism, east-west encounter. In the modern Indo-English Literature opens a new realm of understandingRead MoreIndian Author Amitav Ghosh1119 Words   |  4 PagesAmitav Ghosh is a world renowned Indian author and novelist known for his works in English language. His writings often shows an amalgamation of cultures through the use of various languages. He has received numerous awards for his works and was also awarded the Padma Shri bythe Government of India. His writings are unique and contributed a lot to Indian Writing In English. The Shadow Lines, is one of such writings, a highly innovative novel which was published in the year 1988. It received the prestigiousRead MorePostmodernism In Rushdie And Roys The God Of Small Things1651 Words   |  7 Pagesthey loved the children, an d the children loved them. They all loved each other. (105) Another example:- (ii) We shall go on to the end, We shall fight in France, We shall fight on the seas and oceans, we shall fight with growing confidence. The novel is amply sprinkled with eye catching single world sentences and paragraphs:- (i) Wild sick, sad (159). Gate. Road Stone Sky Rain (285) Out In Up Down (293) The use of parenthesis in the text is another stylistic feature; the readerRead MoreWife Novel of Bharathi Mukherjee2831 Words   |  12 Pagestradition of Euro-American writers. In a brief interview published in the November, 1993 issue of San Francisco Focus in which she discusses her novel In order to avoid the trap of reading A Wifes Story as being from a marginal group, I have found it best to first discuss the crafting of the story as a literary work in the tradition of English/American literature, and then move on to the aspects of the story that deal with specific concepts and cultures. Keeping in mind MukherjeesRead MoreAnalysis Of The Poem Black Crows Gorge On Bright Oranges 1253 Words   |  6 Pagespoetry. The very pattern of sound suggests the sense of Roy’s compatible blending of genres of prose and poetry which binds the reader to the book till the end. Her prose is strongly marked with distinguished characteristics. A large portion of the novel is seen through the consciousness of the children. They are fond of playing with the sounds of the language. They exult in alliteration, rhyme and coinages. It is, therefore natural that such sound effects should abound in the writing. Here are theRead Morecritical analysis of chitra banerjees The Palace of Illusions2180 Words   |  9 PagesName : V.Kala College : St. John’s College, Palayamkottai, Place : Tirunelveli. INDIAN WRITING IN ENGLISH-A LITERARY UPRISING NON-LINEAR NARRATIVES In a literary work, narrative is an art of telling a story to the readers and the writer uses various techniques to narrate his story. Narrative technique is vastly an aesthetic enterprise. A narrator detains the past, holds present and prepares the reader for future. The features of narratives include characters with clear personalities or identitiesRead MoreThe Theme of Alienation in the Novels of Arun Joshi3103 Words   |  13 PagesSubject : M.Phil., (English) Register Number : 01009110001 Centre code : PC - 10 University : DRAVIDIAN UNIVERSITY Broad Field of Research : Fiction (Indian English Literature) Title : The Theme of Alienation in the Novels of Arun Joshi. Name of the Supervisor: Dr. R. Gandhi Subramanian. M.A., M. Phil., Ph.D., THE THEME OF ALIENATION IN THE NOVELS OF ARUN JOSHI INDIAN ENGLISH LITERATURE: AN INTRODUCTIONRead MoreEssay about Women ´s Language: A History of Indian-English Women Writers2269 Words   |  10 PagesWomen’s Language: A history of Indian-English Women Writers. â€Å"Women have burnt like beacons in all the works of all the poets from the beginning of time. Indeed if woman had no existence save in the fiction written by men, one would imagine her a person of the utmost importance; very various; heroic and mean; splendid and sordid; beautiful and hideous in the extreme; as great as a man, some would say greater. But this is woman in fiction. In fact, as Professor Trevelyan points out, she was locked

Story of Aged Mather free essay sample

Long, long ago there lived at the foot of the mountain a poor farmer and his aged, widowed mother. They owned a bit of land which supplied them with food, and their humble were peaceful and happy. Shining was governed by a despotic leader who though a warrior, had a great and cowardly shrinking from anything suggestive of failing health and strength. This caused him to send out a cruel proclamation. The entire province was given strict orders to immediately put to death all aged people. Those were barbarous days, and the custom of abandoning old people to die was not common. The poor farmer loved his aged mother with tender reverence, and the order filled his heart with sorrow. But no one ever thought a second time about obeying the mandate of the governor, so with many deep hopeless sighs, the youth prepared for what at that time was considered the kindest mode of death. We will write a custom essay sample on Story of Aged Mather or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Just at sundown, when his day’s work was ended, he took a quantity of un whitened rice which is principal food for poor, cooked and dried it, and tying it in a square cloth, swung and bundle around his neck along with a gourd filled with cool, sweet water. Then he lifted his helpless old mother to his back and stated on his painful journey up the mountain. The road was long and steep; then arrowed road was crossed and re crossed by many paths made by the hunters and woodcutters. In some place, they mingled in a confused puzzled, but he gave no heed. On path or another, it mattered not. On he went, climbing blindly upward A– ever upward towards the high bare summit of what is known as Obatsuyama, the mountain of the â€Å"abandoning of aged†. The eyes of the old mother were not so dim but that they noted the reckless hastening from one path to another, and her loving heart grew anxious. Her son did not know the mountain’s many paths and his return might be one of danger, so she stretched forth her hand and snapping the twigs from

Internship Report on Zong Pakistan free essay sample

Groups individuals according to the occasions when they purchase, use or think of buying a product. 2. Benefits Sought : Groups individuals according to the benefits they seek from the product. 3. Usage Rate : Groups individuals according to the level of usage they make of the product, be it Heavy, Medium or Light usage. 4. User Status : Groups individuals according to whether they are non-users, potential users, first-time users, regular users, or ex-users of a productLoyalty Status : Groups individuals according to their level of loyalty to the product. Hard core loyals always purchase the product / brand in question. Whilst Soft core loyals will sometimes purchase another brand, and Switchers will not specifically seek out a particular brand, but rather purchase the brand available to them at time of need, or that which was on sale. 6. Buyer Readiness Stage : Groups individuals according to their readiness to purchase the product. This segmentation model is particularly useful in formulating and monitoring the marketing communication strategies employed to move consumers towards purchase of a product or brand. We will write a custom essay sample on Internship Report on Zong Pakistan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Role of Segmentation: Segmentation is the first step towards customer understanding, which allows organisations to build healthy relationships with their customers. Money is made by keeping customers, and the whole idea of segmenting customers in order to build customer relationships is to turn it into a mutually satisfying relationship, says Ovum analyst (David Bradshaw, 2000).